> AI agents: this is one page of Nextmove’s FDE site, in Markdown. Nextmove is a job board and free career service for forward deployed engineers (FDEs). Each posting is classified from its text, not its title: the kind of work, how much of it is production code, pre-sales weight, time at customer sites, travel, remote arrangement, level and posted base pay. The site also publishes the aggregates: median pay by level, metro, company and kind of work, and which companies started hiring FDEs each week. Every page under https://nextmove.md/fde is served this way; the index of pages is https://nextmove.md/llms.txt. # Forward Deployed Engineer Canonical URL: https://nextmove.md/fde/jobs/3407b4ba18b5e77c Ascertain posts a FDE role to build what the customer runs in US, at $130,000–$175,000 base, below the senior FDE median of $190,000 across 1,864 postings with pay. Forward Deployed Engineers own customer deployments end to end, from mapping healthcare-practice workflows through building integrations and shipping production systems. Read from the employer’s posting on November 8, 2026. - [Ascertain](https://nextmove.md/fde/companies/ascertain) Posted Sep 9, 2026 by Ascertain · open on Ashby as of Nov 8, 2026 **$130,000–$175,000** + equity US Remote Full-time Forward Deployed Engineers own customer deployments end to end, from mapping healthcare-practice workflows through building integrations and shipping production systems. - [See roles that fit me](https://nextmove.md/sign-up?from=%2Ffde%2Fjobs%2F3407b4ba18b5e77c&placement=top) - [View posting at Ascertain](https://jobs.ashbyhq.com/ascertain/f1860af4-35c7-4eb6-8c95-c3be860f4cfc/application) Free. Upload your resume once, see why each FDE role fits, and get introduced only when you say so. ## At a glance ### Posted base pay $130K–$175K Below the median Midpoint $153K · median $190K This job $130K to $175K. Senior FDE postings, 1,864 postings: the middle 50% of posted pay is $160K to $220K, median $190K. ### The work Builds what the customer runs Balance **Mostly building** Project stages 1. Pre-sales (not covered) 2. Proof of concept (not covered) 3. Implementation 4. Operations Travel **Required, amount not stated** - **Coding**: Writes production code - **Builds for**: External customers - **Level**: Senior - **Role**: Individual contributor ### What they ask for Experience - **5+ years** Shipping production code in a commercial engineering role Background - **Software engineering** ### Do you meet what the posting states? The posting asks for 5+ years. How many do you have? The posting reads as a senior role. What level are you at now? The work is remote from the US. Can you work from the US? Which of these have you used in production? Answer each one. Nothing is saved or sent. [What postings ask for, by background →](https://nextmove.md/fde/paths) ## Conditions - **Location**: US - **Work arrangement**: Remote - **Employment type**: Full-time - **Travel**: Travel required, amount not stated - **Pay**: ## More like this [Monte Carlo](https://nextmove.md/fde/companies/monte-carlo) ### [Applied Forward Deployed Engineer (Post-Sales)](https://nextmove.md/fde/jobs/4593abbbddffbf3a) US Remote 2d ago $140,000–$180,000 [Enterprise Knowledge](https://nextmove.md/fde/companies/enterprise-knowledge) ### [Semantic Data and AI Engineer](https://nextmove.md/fde/jobs/5ccf5311b8887ce2) Arlington, VA Remote 4w ago $135,000–$175,000 [Lumin Digital](https://nextmove.md/fde/companies/lumin-digital) ### [Senior Software Implementation Engineer - Phase 1](https://nextmove.md/fde/jobs/723e734fed660126) US Remote 2d ago $145,000–$165,000 ## The job description from Ascertain Posted by Ascertain on Sep 9, 2026 ### Meet Ascertain Ascertain is building AI agents to automate the administrative work that burdens care teams. We are in major health systems and large specialty groups, saving hundreds of staff hours every week. Our backers include Northwell Health, New York’s largest health system, and Deerfield Management, a leading healthcare investment firm. Together, we’re on a mission to restore time, trust, and focus to the people who keep healthcare running. Our work is urgent — not because of startup timelines, but because our customers rely on us to drive financial resilience and operational clarity in a system under strain. ### About the role As a Forward Deployed Engineer, you will own the full arc of a customer deployment: understanding a practice's workflows in depth, building the integrations that connect Ascertain's agents to their systems, and shipping the result into production. You will work directly with billers, referral coordinators, practice administrators, and clinical staff to map their processes, then translate what you learn into working software. The role combines substantive engineering work with sustained customer engagement. FDEs are the technical owners of their deployments—you’ll collaborate with the customer, write production code, and be the person in the room when customers raise difficult questions. ### What you'll do - Embed with new and existing customer practices, remotely and on-site, to map prior authorization, referral, and related workflows end to end. - Build and own the integrations that connect Ascertain's agents to customer systems: EHR APIs (Athena, eClinicalWorks, Epic, etc.), payer portals, fax and EDI, document intake, and the rest of the practice's stack. - Configure and extend our agent platform for each customer—ontology, prompts, tools, guardrails, escalation paths—and harden what works into reusable patterns. - Debug production issues across the full stack: data, prompts, APIs, UI, and the surrounding human workflow. - Serve as the technical voice in customer conversations. Translate between clinical-operations language and engineering, and make informed decisions on what to build, what to configure, and what to decline. - Surface learnings to the product and platform teams so patterns discovered once become reusable. ### What we're looking for ### Required - 5+ years shipping production code in a commercial engineering role. - Fluent in Python - Proficient with SQL, REST APIs, and at least one full-stack or front-end framework. - A track record of delivering in environments where the problem was not fully specified - early-stage startup, consulting, applied research, or an operations-heavy role. - Strong written and verbal communication. You can lead a working session with a non-technical practice manager and produce a concise specification afterward. - Willingness to travel occasionally to customer sites. ### Strongly preferred - Healthcare experience: EHRs, claims and EDI (X12 270/271, 278, 837), HL7/FHIR, payer portals, RCM, or prior authorization workflows specifically. - Production experience with LLMs or agent frameworks—prompt design, evaluations, tool use, retrieval, guardrails. - Applied integration experience: OAuth flows, webhook plumbing, browser automation, PDF and document parsing. - Prior experience as an embedded engineer working directly with enterprise customers. ### This role will not suit you if - You prefer a well-defined backlog of tickets. - You are looking to specialize deeply in a single technical area. - You do not want regular, direct customer interaction as part of your day-to-day work. * **Why Ascertain? **Make a real difference: Your work will directly impact healthcare organizations and improve patient care. Join Ascertain in transforming healthcare with AI!* [View posting at Ascertain](https://jobs.ashbyhq.com/ascertain/f1860af4-35c7-4eb6-8c95-c3be860f4cfc/application) ## Similar jobs [Oden Technologies](https://nextmove.md/fde/companies/oden-technologies) ### [Solutions Engineer](https://nextmove.md/fde/jobs/a0a7407331899c9c) US Remote 2mo ago $95,000–$160,000 [LMI](https://nextmove.md/fde/companies/lmi) ### [Data Engineer - Clearance Required](https://nextmove.md/fde/jobs/3e3a847055225def) Pittsburgh, PA · US remote Remote 2w ago $101,144–$174,591 [Fabric](https://nextmove.md/fde/companies/fabric) ### [Technical Solutions Engineer](https://nextmove.md/fde/jobs/c03bb9c39bd753f4) US Remote 2mo ago $140,000–$170,000 [Friday Harbor](https://nextmove.md/fde/companies/friday-harbor) ### [Solutions Engineer](https://nextmove.md/fde/jobs/2dbcfc10986543c2) US Remote 12d ago $135,000–$165,000 [Livefront](https://nextmove.md/fde/companies/livefront) ### [Agentic Engineer [Zeal] ](https://nextmove.md/fde/jobs/be5014f81d3eeaee) US Remote 2mo ago $130,000–$165,000 - [Compare senior FDE salary ranges](https://nextmove.md/fde/salary/senior) - [Similar jobs that build what the customer runs](https://nextmove.md/fde/jobs?role=builds-for-customers) Hiring at Ascertain and want this page changed or removed? 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